We've onboarded enough Michigan practices to know exactly where it gets stuck. Here's the full path: discovery, transition, go-live, and the daily and monthly rhythm we'll run together.
Most practices are fully transitioned within 21–30 days. We do the heavy lifting; your team confirms.
We spend 30 minutes understanding your practice, then review 90 days of de-identified billing data. You get a written audit showing exactly where revenue is leaking and the dollar value of fixing it. No commitment, no obligation.
Timeline: 1 week.
We sign a HIPAA-compliant Business Associate Agreement and a transparent service agreement (no long lock-in). Then we set up secure EHR/PM access, clearinghouse routing, ERA enrollment, and payer EFT — all coordinated by your account manager.
Timeline: Days 7–14.
We import fee schedules, validate provider enrollments, audit modifier rules, and run a parallel test cycle. On go-live day, claims start flowing. Your account manager is on call. We meet weekly for the first 60 days.
Timeline: Days 14–30.
By day 60 we've seen enough cycles to recommend specific revenue improvements. Monthly executive reviews start. Your dashboard goes live. We tighten the screws on denials, A/R, and coding patterns we identified during the audit.
Timeline: Day 60+ ongoing.
Once you're live, here's what happens every day on your account — even when you don't hear from us.
You'll never have to ask "how is my practice doing?" — you'll know.
Final ERAs posted, secondaries submitted, adjustments categorized, bank reconciled. We close the books on the prior month so the report tells the truth.
Your written report lands in your inbox. We schedule a 30-minute video review to walk through the numbers, surface trends, and agree on three action items for the month.
Per-provider memo with documentation tips and coding patterns we observed. Small changes that compound — one provider raised E/M reimbursement 11% in two months.
Coordinated push on aged buckets — escalations, phone calls to payer reps, and write-off reviews. We share what we recovered and why anything was written off.
Every 90 days we run a quarterly business review with strategic recommendations: payer mix, fee schedule benchmarking, new service profitability, and scaling decisions.
Full HIPAA review, OIG work plan check, payer contract calendar, credentialing renewal schedule. We stay ahead of revalidations and re-credentialing so nothing lapses.
One dedicated account manager. One direct phone line. One email thread. No phone trees, no ticket queues, no "let me transfer you to billing."
And if you ever feel like you're not getting the attention you need — call the founder directly. The number is on every monthly report.
We charge a flat percentage of collections — meaning we only get paid when you do. Custom quotes after the audit, but here's how we think about it.
Most engagements price between 4–8% of net collections, depending on volume, specialty complexity, and which services you take on. No setup fees on standard engagements.
Month-to-month after the first 90 days. If we're not earning our keep, you walk away. Most clients stay for years — but we never want a contract holding you here.
Statements, postage, clearinghouse fees, ERA enrollment — all included unless flagged in writing up front. The percentage is the percentage.
Step one is a 30-minute discovery call and a free 90-day data audit. We'll show you exactly where the money is — and what it would take to get it back.
